| NPI | 1831716406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL.0008734) |
| 208600000X Surgery (Licence: IL 125077205) | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2021-07-22 |